软骨发育不全性侏儒症伴巨块型肝癌患者的护理

doi:10.3761/j.issn.2096-7446.2023.10.009

Abstract

Abstract: To summarize the nursing experience of a patient with achondroplasia Dwarfism accompanied by massive liver cancer with spontaneous rupture and bleeding and colon perforation. Targeting the special physiological structure and critical condition of patients,predictive care for liver cancer rupture and bleeding was taken,and emergency plans for major bleeding was formulated. We implemented goal-oriented nursing strategies and carried out sequential individualized nursing,established a second plane method for hydrocolloid dressings to maintain the stoma,implemented comprehensive management of delirium and promoted accelerated recovery,implemented individualized psychological care and discharge continuity guidance. After 18 days of meticulous treatment and nursing care,the patient recovered and was discharged from the hospital. After a 2-month follow-up,his recovery was good.

Key words: Dwarfism, Achondroplasia, Liver Neoplasms, Emergency Care

LIN Weixi, XU Juehua, XU Caijuan, LIU Shuai. Nursing care of a case of achondroplasia Dwarfism with massive liver cancer[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(10): 913-916.

References

[1] 中国医师协会医学遗传医师分会,中华医学会儿科学分会内分泌遗传代谢学组,中华医学会儿科学分会罕见病学组,等. 软骨发育不全诊断及治疗专家共识[J]. 中华儿科杂志,2021,59(7):545-550.
Medical Genetics Committee of Chinese Medical Doctor Asso-ciation,Endocrinologic Hereditary and Metabolic Diseases Subspecialty Group of Pediatrics Branch of Chinese Medical Association,Rare Diseases Subspecialty Group of Pediatrics Branch of Chinese Medical Association,et al. Experts consen-sus on diagnosis and treatment of achondroplasia[J]. Chin J Pediatr,2021,59(7):545-550.
[2] 戴朝六,周天伊,鞠明光. 巨块型肝癌的外科治疗[J]. 肝胆外科杂志,2020,28(3):161-166
Dai CL,Zhou TY,Ju MG.Surgical treatment of massive hepato-cellular carcinoma[J]. J Hepatobiliary Surg,2020,28(3):161-166.
[3] 王兴宇,张剑林,陈卫东. 18例肝癌自发性破裂出血治疗体会[J]. 肝胆外科杂志,2016,24(2):95-98.
Wang XY,Zhang JL,Chen WD.The analysis of treatment of 18 cases of spontaneous rupture of hepatocellular carcinoma[J]. J Hepatobiliary Surg,2016,24(2):95-98.
[4] 吴飞,郑瑞强,陈齐红. 脓毒性休克初始液体复苏:该如何选择?[J]. 中华危重症医学杂志(电子版),2021,14(3):244-247.
Wu F,Zheng RQ,Chen QH.Initial fluid resuscitation for septic shock:How to choose?[J]. Chin J Crit Care Med(Electron Edi),2021,14(3):244-247.
[5] de Backer D,Bakker J,Cecconi M,et al. Alternatives to the swan-ganz catheter[J]. Intensive Care Med,2018,44(6):730-741.
[6] 陈丽花,盛青青,黄瑶,等. 重症患者腹内高压预防与管理的最佳证据总结[J]. 中华护理杂志,2022,57(17):2164-2170.
Chen LH,Sheng QQ,Huang Y,et al.Summary of best evidence on preventing and management of intra-abdominal hypertension in critically ill patients[J]. Chin J Nurs,2022,57(17):2164-2170.
[7] 中国急诊危重症患者肠内营养治疗专家共识组. 中国急诊危重症患者肠内营养治疗专家共识[J]. 中华急诊医学杂志,2022, 31(3):281-290.
Expert Consensus Group on Enteral Nutrition Therapy for Emergency Critically Ill Patients in China. Expert consensus on enteral nutrition therapy for emergency and critical patients in China[J]. Chin J Emerg Med,2022,31(3):281-290.
[8] 中国康复医学会骨质疏松预防与康复专业委员会. 骨质疏松性骨折二级预防中国专家共识[J]. 中华医学杂志,2022,102(45):3581-3591.
Osteoporosis Prevention and Rehabilitation Committee of Chinese Rehabilitation Society. China expert consensus on secondary prevention of osteoporotic fracture[J]. Natl Med J China,2022,102(45):3581-3591.
[9] 周茹珍,钱火红,邱群,等. 水胶体敷料建立第二平面法在近手术切口的肠造口护理中的应用[J]. 解放军护理杂志,2020,37(12):89-92.
Zhou RZ,Qian HH,Qiu Q,et al.Application of the second plane method created by hydrocolloid in the nursing of intestinal stoma near surgical incision[J]. Nurs J Chin PLA,2020,37(12):89-92.
[10] Savarirayan R,Ireland P,Irving M,et al.International consensus statement on the diagnosis,multidisciplinary management and lifelong care of individuals with achondroplasia[J]. Nat Rev Endocrinol,2022,18(3):173-189.

Nursing care of a case of achondroplasia Dwarfism with massive liver cancer

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 6

Recommended Articles

Metrics

Comments

[1]	NI Fu, XI Zuyang, WEI Yongting, FAN Yuqing, TAN Yayuan, YANG Dongju, LI Zifeng, TIAN Fei. Construction and application of “one-click call” treatment platform for people in advanced age [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 687-691.
[2]	DING Jinling, SHEN Xiao, YANG Lei, WANG Ping, WANG Sa, WANG Yuwei. Construction and practice of smart geriatric emergency clinics [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 676-680.
[3]	YAO Xiaoyue, LU Weisong, ZHANG Lanlan, PAN Yinzhi, SHEN Weidi, SHEN Anni, YANG Minfei. Nursing care of agitated behavior caused by falling from height in a patient with Alzheimer’s disease [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 459-461.
[4]	JI Kexin, YE Ronghua, YE Lixia, XU Li, ZHANG Yefei, ZHOU Hong. Application and effect evaluation of cockpit resource management model in emergency treatment of severe trauma patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 421-427.
[5]	MAO Hangfei, XU Yihong, XU Hongxia. Nursing care of frequent hypoglycemia caused by excessive secretion of insulin-like growth factor-2 in a patient with advanced liver cancer [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(6): 534-536.
[6]	XIANG Zhenzhen, JIN Jingfen, FENG Suwen, XU Lingyan, ZENG Wanting, SU Shuihong. Clinical application of obstetric emergency triage scale [J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(2): 116-120.